Nephrology

Nephrology and kidney care expertise close to you

Experience personalized care in the Mid-Hudson Valley and northwestern Connecticut

If you have issues with your kidneys, it’s important to realize that you are not alone. The team at Health Quest Medical Practice (HQMP) is here to help you navigate a variety of kidney conditions.

A nephrologist is a specialist who takes good care of your kidneys
Your kidneys are vital to maintaining the normal fluid and electrolyte balance in your body. Nephrology is a specialty of internal medicine that focuses on the treatment of disorders that affect the kidneys. Most of us are born with two kidneys. They are located beneath your rib cage on either side of your spine. The kidneys remove waste and excess fluid from your blood, to maintain your electrolyte balance and to release hormones that manage your blood pressure.

Nephrologists have expertise in diseases that specifically affect the kidneys, and how those diseases can have an impact on other parts of your body. Your nephrology team will partner with your primary care physician and your urologist to restore and balance your kidney function. If you have chronic kidney disease (CKD), your nephrologist will monitor your kidneys over time and treat secondary conditions such as diabetes, lupus or kidney infections that may arise.

The goal of our nephrology practice is to enhance the quality of life of all kidney patients in our region. Centrally located in Carmel, NY, we serve patients from Dutchess, Putnam, Westchester and Fairfield counties.

Conditions We Treat

How a specialized kidney doctor can diagnose and treat a broad array of kidney conditions.

Our kidneys may be affected by multiple diseases and conditions. Some are mild, such as a simple kidney infection. Or they can be more complex, such as complications of kidney function due to diabetes, chronic kidney disease (CKD) or an electrolyte imbalance. Treatment by a highly qualified nephrologist may help preserve and protect these vital organs and their effect on your overall health. The HQMP nephrology practice in Carmel, NY, is centrally located in the Mid-Hudson Valley and northwestern Connecticut, so you don’t have to travel far from home.

The ideal time to see a kidney doctor varies based on your kidney function, the particular renal condition you have and other risk factors. Research shows that early referral to see a nephrologist can benefit you. Multiple medical studies have clearly proven that patients who wait overly long to see a nephrologist are more likely to need dialysis.

  • Chronic kidney disease
    When you have CKD, you can also have problems with how the rest of your body is working. Some of the common complications of CKD include anemia, bone disease, heart disease, high potassium, high calcium and fluid buildup. Regular visits and support from your nephrologist will help you deal with CKD, as will taking positive steps through medication and lifestyle adjustment that help you avoid the need for dialysis.
  • Electrolyte derangements
    Electrolytes are elements and compounds in our bodies that include familiar names such as, calcium, chloride, magnesium, phosphate, potassium, and sodium. You have electrolytes in your blood, bodily fluids, and urine. You take electrolytes in with food, drinks and supplements, and may rarely give them a thought. However, if they become severely unbalanced, they can cause problems ranging from an irregular or fast heart rate, body aches or confusion, to coma, seizures or cardiac arrest. The most common cause of an electrolyte disorder is loss of fluids (dehydration) caused by a prolonged bout of vomiting or diarrhea. Excessive sweating can also be a factor. A derangement of electrolytes can even develop due to fluid loss resulting from burns. Medications, including diuretics, can also cause electrolyte disorders. In some cases, underlying diseases, such as acute or chronic kidney disease, are at the root of the problem.
  • Hypertension – high blood pressure
    High blood pressure occurs when the force of the blood pushing against the artery walls is too high. This causes your heart to pump harder to circulate your blood.
  • Kidney failure
    When your kidneys fail, it means they have stopped working well enough for you to survive without dialysis or a kidney transplant. If the damage to your kidneys continues to get worse, and your kidneys are less and less able to do their job, you have chronic kidney disease (CKD). Kidney failure is the last (most severe) stage of chronic kidney disease. This is why kidney failure is also called end-stage renal disease, or ESRD
  • Kidney stones
    To make urine, your kidneys remove waste and fluid from your blood. When you have too much of certain wastes and not enough fluid in your blood, these wastes can build up and stick together in your kidneys. These clumps of waste are called kidney stones. If you have a larger kidney stone, you will likely notice pain while urinating, blood in your urine, a sharp pain in your back and lower abdomen, and nausea or vomiting. If you experience these symptoms, contact your healthcare provider immediately, who may refer you to a nephrologist. Watch Video
  • Kidney transplant care
    Nephrologists have advanced training in treating kidney disease and are responsible for medical care during dialysis treatments. Your nephrologist is frequently the person you will see before and after a kidney transplant. Before the transplant operation can take place, medical problems such as diabetes or high blood pressure must be well controlled. After the operation, nephrologists see patients for long-term, follow-up care, and help you handle any medical problems that may arise, such as rejection of the kidney transplant.

Testing and Diagnostics

  • Urinary tract imaging
    Your nephrologist may order any of the following tests to examine your urinary function:
    • Ultrasound of the kidney is a noninvasive diagnostic exam that produces images that your doctor can use to assess the size, shape and location of the kidneys. Ultrasound can also be used to assess blood flow to the kidneys.
    • CT scans of the kidneys can give more detailed information about the kidneys than standard X-rays. This can provide more information related to injuries or diseases of the kidneys and kidney stones.
    • Magnetic resonance imaging (MRI) uses radio waves and magnets to make detailed pictures of the body’s organs and soft tissues. These images can be seen in 3D (3 dimensions). MRI can help your doctor tell the difference between different types of masses in the kidneys, from which it is possible to determine whether the mass is cancerous or not cancerous (benign).
  • Kidney stone risk profiles are a group of lab tests that measure the elevated or decreased amounts of substances in urine that are commonly associated with kidney stone formation (nephrolithiasis).
  • Kidney biopsy helps determine the progress of kidney disease or to monitor the results of a kidney transplant. Your doctor will insert a thin needle through the skin guided by an imaging device to remove tissue from the exact area of the kidney.